Patient's question:
Detailed medical condition and consultation purpose: I am pregnant for the first time. An ultrasound showed that the gestational sac is located on the right side of the uterus. The doctor said I have cornual pregnancy, and I followed the doctor's advice to have an abortion. In my second pregnancy, the gestational sac was still in the same position, and I had another abortion. Is it certain that a gestational sac in the right side of the uterus is always cornual pregnancy? Is there any way to avoid this?Doctor's answer:
Cornual pregnancy is the most dangerous. Early detection generally requires hysteroscopic surgery to remove the embryo. For ordinary induced abortion or D&C, it is difficult to completely clear the pregnancy tissue in the cornual area. Under anesthesia, a hysteroscope is inserted through the vagina, allowing the doctor to directly observe the condition of the uterine cavity and the embryo before removing it. This avoids the blind scraping and suction that may lead to missed aspiration. Ordinary induced abortion or general painless abortion typically uses suction to remove the embryo, followed by routine uterine scraping. Moreover, if the embryo is large or poorly positioned in the uterine cavity, missed aspiration is more likely to occur. Hysteroscopic embryo removal was pioneered by President Chen Fenglin. It is direct, painless, minimally invasive, bloodless, and integrates diagnosis and treatment, effectively preventing uterine perforation, incomplete abortion, secondary infertility, and habitual abortion. At the same time, the hysteroscope can observe the uterine cavity's shape to check for the presence of a uterine septum or poor uterine morphology, which may lead to cornual pregnancy, effectively preventing future cornual pregnancies.